Murray T J
Dalhousie University, Halifax, NS.
CMAJ. 1995 Nov 15;153(10):1433-6.
As health care changes under the pressures of restraint and constraint our vision of the future of medical education should be based on the medical school's responsibility to the community. The medical school is "an academy in the community": as an academy, it fosters the highest standards in education and research; as an institution in the community, it seeks to improve public health and alleviate suffering. The author argues that to better achieve these goals medical schools need to become more responsible and responsive to the population they serve. Medical schools have been slow to accept fully the social contract by which, in return for their service to society, they enjoy special rights and benefits. This contract requires that medical educators listen to the public, talk honestly and constructively with government representatives and assess the needs and expectations of the community.
在医疗保健面临限制和约束的压力而发生变革的情况下，我们对医学教育未来的愿景应基于医学院对社会的责任。医学院是“社区中的学术机构”：作为学术机构，它培养教育和研究方面的最高标准；作为社区中的机构，它致力于改善公众健康并减轻痛苦。作者认为，为了更好地实现这些目标，医学院需要对其所服务的人群更具责任感并做出更积极的回应。医学院在充分接受社会契约方面一直行动迟缓，根据该契约，作为对其为社会服务的回报，它们享有特殊的权利和利益。该契约要求医学教育工作者倾听公众意见，与政府代表进行坦诚且建设性的交流，并评估社区的需求和期望。
